Data Entry Home Part-Time
Resume:
CHANELL L CAGE
Jackson, MS *9212
Objective: To secure a challenging position with a progressive company suitable to my skills and experience which provides the opportunity to work from home part-time.
Education:
1988 – 1990 Southern Technical College
Degree: Associate in applied science
1985- 1988 Lanier High School
Degree: Diploma
Computer Skills:
-DDE (Direct Data Entry) -Horizon
-Epic -Microsoft Works/Excel
On the Job Training:
-ICD10 Diagnosis Codes -HCPS Codes
-CPT 4 Procedure Codes -Medical Terminology
Work History:
Baptist Memorial Healthcare (November 2014 – present)
Medical Biller
Clear and resolve billing edits for claims to ensure processing to be received by Medicare and Commercial carriers for reimbursement in a timely manner. Process adjustments including write-offs, late charge adjustments and discounts. Corrects all the primary and secondary rejected claims, the resubmission of rejected claims in along with the resolution of all delinquent insurance claim on patient accounts per guidelines to secure payment.
Gentiva Hospice (December 2007- July 2014)
Site Revenue Coordinator
Performed complex activities associated with maintaining accurate and complex billing accounts receivable records. Accurately maintained daily census for two offices with average of 110 – 115 patients. Generated weekly and monthly charges for Medicare, Medicaid and Commercial patients. Ensured eligibility was verified regularly to prevent loss revenue. Processed monthly nursing home invoices and Medicaid liability statements. Followed up on denied claims and resubmitted for payment. Worked A/R aging for claims greater than 90 days.
PharMerica (May 2002- December 2007)
Adjudicator
Ensure approval of claims through reverses as necessary on edits discovered during the filing process. Verify patient insurance information and bill to correct payor source for payment. Identify and resolve denied claims prior to medication delivery.
Gilsbar, Inc. (May 2000 - September 2001)
Medical Claims Processor
Process medical and prescription claims received for payment based on review of benefits. Handle adjustments, reimbursements and customer service calls.
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